Podcast appearances and mentions of michael rathleff

In this months episode Adam and Greg are joined by Dr Michael Rathleff to discuss his work and thoughts on exercise for pain. To find out more about Michaels work click here To find out more about Rehab Guru click here To become a NAF Podcast Patreon click here

In this episode, Aalborg University Professor, Prof Michael Rathleff, talks about his role at the upcoming WCSPT. Today, Michael talks about how he organized the congress, creating tools for clinicians to educate their patients, and his research on overuse injuries in adolescents. What are the barriers between the research and implementation in practice? Hear about the mobile health industry, exciting events at the congress, and get his advice to his younger self, all on today's episode of The Healthy, Wealthy & Smart Podcast.   Key Takeaways “The clinicians out there have a hard time both finding the evidence, appraising the evidence, and understanding [if it's] good or bad science.” “There's a lot a clinician can do outside of a one-on-one interaction with a patient.” “It's our role to understand the needs of the individual patient, then make up something that really meets those needs.” “It's okay to say no. You have to make sure to say yes to the right things.”   More about Michael Rathleff Prof Michael Rathleff coordinates the musculoskeletal research program at the Research Unit for General Practice in Aalborg. The research programme is cross-disciplinary and includes researchers with a background in general practice, rheumatology, orthopaedic surgery, physiotherapy, sports science, health economics and human‐centered informatics. He is the head of the research group OptiYouth at the Research Unit for General Practice. Their aim is to improve the health and function of adolescents through research.   Suggested Keywords Healthy, Wealthy, Smart, Healthcare, Physiotherapy, Sports, Research, Injuries, WCSPT, Education,   IFSPT Fourth World Congress of Sports Physical Therapy   To learn more, follow Michael at: Website:          https://vbn.aau.dk/en/persons/130816 Research:       https://www.researchgate.net/profile/Michael-Rathleff Twitter:            @michaelrathleff   Subscribe to Healthy, Wealthy & Smart: Website:                      https://podcast.healthywealthysmart.com Apple Podcasts:          https://podcasts.apple.com/us/podcast/healthy-wealthy-smart/id532717264 Spotify:                        https://open.spotify.com/show/6ELmKwE4mSZXBB8TiQvp73 SoundCloud:               https://soundcloud.com/healthywealthysmart Stitcher:                       https://www.stitcher.com/show/healthy-wealthy-smart iHeart Radio:               https://www.iheart.com/podcast/263-healthy-wealthy-smart-27628927   Read the Full Transcript Here:  00:02 Hello, Professor Ratliff, thank you so much for coming on the podcast today to talk a little bit more about your role at the fourth World Congress is sports, physical therapy in Denmark, August 26, to the 27th. So, as we were talking, before we went on the air, we were saying, man, you're wearing a bunch of hats during this Congress, one of which is part of the organizing committee. So my first question to you is, as a member of the Organising Committee, what were your goals? And what are you hoping to achieve with this Congress?   00:35 I think my role is primarily within the scientific committee. And one of the things we discussed very, very early on was this, like, you know, when you go for a conference, you go up to a conference, you hear a bunch of interesting talks, and you feel like, I'm motivated, I'm listening, I'm taking in new things. But then Monday morning, when you see the next patient, it's not always that all the interesting stuff that you saw, is actually applicable to my patient Monday morning. So we wanted to try and emphasize more. How can we use this conference as a way to translate science into practice? So the whole program and the like, the presentations will be more about clinical applicability, and less about more p values and research methodology. So not that the research is not sound, but there'll be more focused on how can we actually apply it in the context that were working. That's why also, we had the main title of translating research into practice, which I think will be hopefully a cornerstone that people will see, well, if there's really interesting talk about, it could be overuse injuries in kids, which will be a lecture that I'm having, then they'll also be a practical workshop afterwards to kind of use that what's been presented, and then really drill down on how we can use it in in clinical practice. So the goal is to, to get people to reflect in your network, but also take a lot of the things and think, Wow, this is something that I can use next Monday for clinical practice.   02:09 And aside from a lot of lectures and talks, you've also got in informatics competition. And so could you explain that a little bit and why you decided to bring that into the Congress?   02:23 Yeah, so this was a major, not a debate, but an interesting discussion on how we can even in the early phases of the conference, when people submit an abstract, make sure that the abstract can actually also reach more end users target audiences for that case. So we decided that people actually had to submit an infographic together with their the abstract. So normally, you send in like, 250 words, for a conference, but for this conference, we wanted them to submit the abstract, but also the visual infographic to go along with Olympic Well, am I making an infographic that is tailored to patient? Is that a patient aid that I'm trying to make? Is it something that's aimed but other researchers? Or is it clinicians, so they have to tick off? Which box Am I infographic actually intended for? So when the audience or the participants come and join the conference, they can actually take these infographics for those that want to print them they can use in the clinic afterwards, just another layer of trying to make some of this research more easily communicated to the audience, but also, the things that can be used in clinical practice, like some of the people have submitted abstract, have some really, really nice infographics that I expect will be printed and hang on, on a few clinic doors around the world afterwards, I hope.   03:48 And when it comes to dissemination of research and information from the clinician, to the patient, or even to the wider public, where do you think clinicians and researchers get stuck? Like where is the disconnect between that dissemination of information as we the information as we see, and by the time it gets to the consumer or to let's say, a mass media outlet? It's like, what happened?   04:15 Yeah, that's a big a big question. Because it's almost like why are we not better at implementing new research into our clinical practice? And I think there's heaps of different barriers. We've we've done a couple of studies, something new was also in the pipeline where we look specific, get the official context, and we can see that this barriers in terms of understanding the research, that's actually one of the major barriers that the clinicians out there have a really hard time both finding the evidence, appraising the evidence, and also actually understanding is this good or bad science. And then you have the whole time constraints on a clinical practice because who's going to pay you to sit and use two hours On reading this paper, and remember, this is just one paper on ACL injuries. But in my clinical practice, I see a gazillion different different things. So how am I going to keep up with the with the evidence? Is it intended that I'm reading original literature? Or how am I going to keep up with it? So I think there's a lot of different barriers. But at least one of the ways I think we can overcome some of these barriers is that researchers climb out of the ivory tower and think of other ways that we can communicate, research, evidence synthesis, it could be infographics, it could be sort of like decision age for clinical practice, at least that's one of the routes we're taking in terms of also the talk I'm giving at the conference that we're trying to think of, Can we somehow develop AIDS that will support clinical practice something that scene but the physiotherapist something that's aimed at the patient, that will sort of make it easier to deliver evidence based practice? So we've done one, one tool that's being developed at the moment is called the Makhni, which is something that can assist clinicians in the diagnosis, the communication of how do you communicate to kids about chronic knee pain? How do I make sure that they have the right expectation for what my management can be? And how can we engage in a shared decision making process. And we have a few other things in the pipeline as well, where we want to, to build something, build something practical that you can take in use in clinical practice to to support you in delivering good quality care, because just publishing papers is not going to change clinical practice, I think,   06:45 yeah, and publishing papers, which are sometimes wonderful papers. But if they're not getting out to the clinicians, they're certainly not going to get out to the patients and to people, sort of the mass population.   07:02 I completely agree. It's a bigger discussion, I'm really focused on how to reach clinicians, because I see the clinicians as the entry point to delivering care to patients and parents and, and the surrounding surrounding community. But if you think of, like wider public health interventions, we have the same problem as well. And also we create this sort of like, No, this inequality in healthcare, but that's another   07:30 line, although there can of worms. Yeah, we could do a whole series of podcasts on that. Yeah, yeah. And I agree with you that it needs to come from the clinician. So creating these tools to help clinicians better educate their patients, which in turn really becomes their community. Because there's a lot a clinician can do outside of just a one on one interaction with the patient. And so having the right tools can make a big difference.   07:58 Like in, if you look at a patient that comes to you for an ACL injury, or long standing musculoskeletal complaint, they're going to spend maybe 0.1% of their time together with you and 99.9%, they're out on their own. And I think it's important that we when we're one on one with them, sort of like make them develop the competencies so they can do the right decisions for their health in the 99.9% of the time that they're out there alone, when they're not with with us, I completely agree with you that there's a lot of things we can do to make them more competent in thriving despite of knee pain, or shoulder pain or whatever it might, it might be. And I think that's one of the most important tasks, I think, for us as clinicians is to think about the everyday lives they have to live when they leave us and say see you next time.   08:51 Yeah, and to be able to clearly communicate whatever their diagnosis by might be, or exercise program or, or any number of, of 10s of 1000s of bio psychosocial impacts that are happening with this person. Because oftentimes, and I know I've been guilty of this in the past, I'm sure other therapists would agree that they've this has happened to them as well as you explain everything to the patient, and then they come back and it's, they got nothing zero. And it might be because you're not disseminating the information to them in a way that's helpful for them or in a way that's conducive with their learning style. So having different tools, like you said, maybe it's an infographic that the patient can look at and be like, Oh, I get it now. So having a lot of variety makes a huge difference.   09:48 And I think you touched on a super important point there that patients are very different, that they have different learning styles, they have different needs. And I think it's our role to enlist Send the needs of the individual patient and make up something that really meets those needs. So more about listening, asking questions and less about thinking that we have the solution to it, because I think within musculoskeletal health or care, whatever we call it, some clinicians would use their words to communicate a message that might be good for some other patients would prefer to have a folder or leaflet. Others would say, I want a phone, I want an app on my phone, something that's like learning on demand, because at least that's something we see regularly. Now that we have the older population that wants a piece of paper, we have the younger population that wants to have something that they can sort of like, rely on when they're out there on their own one advice on how do I manage this challenging situation to get some good advice when you're not there? When I'm all on my own? So, so different?   10:57 Yeah, and I love those examples. I use apps quite frequently. And I had a patient just the other day say, Oh, my husband put this, the app that that you use, because I was giving her PDFs, and she's like, Oh, my husband put the app on my phone. Now it's so much easier. So now I know exactly what to do if I have five minutes in my day. So it just depends.   11:21 And I think the whole like mobile health industry, there's a lot of potential there. But I also see, at least from a Danish context, that there's a lot of apps that is very limited. It's not not developed on a sound evidence base, or it's just sort of like a container of videos with exercises. And I think there's a huge potential in like thinking of how can we do more with this? How can we make sure that it's not just the delivery vehicle for a new exercise, but it's actually the delivery vehicle for improving the competencies for self management for individuals? I think there's, yeah, I'm looking forward to the next few years to see how this whole field develops. Because I think there's really big potential in this.   12:12 Yeah, not like you're not doing enough already. But you know, maybe you've just got your next project now. Like, you're not busy enough already. So as we, as you alluded to a few minutes ago, you've got a couple of different talks you're chairing, so you've got a lot going on at the World Congress. So do you want to break down, give maybe a little sneak peek, you don't have to give it all away, we want people to go to the conference to listen to your talks. But if you want to break down, maybe take a one or two of your topics that you'll be speaking on, and I give us a sneak peek.   12:48 I think the talk that will be most interesting for me to deliver and hopefully also to listen to is is the talk that I'm giving on overuse injuries in adolescence, because I think it's we haven't had a lot of like conferences in the past couple of years. So it will be one of these talks will be meaty in terms of of new date, and some of the things I'm most interested go out and present is all the qualitative research we've done on understanding adolescents and their parents, in terms of what are the challenges they experience? How can we help them and also, we've done a lot of qualitative works on what are the challenges that face us experience when dealing with kids with long standing pain complaints, we've developed some new tools that can sort of like, help this process to improve care for these young people. And I really look forward trying to Yeah, to hear what people think of, of our ideas and, and the practical tools that we've that we've developed. So that's at least one of the talks, that's going to be quite interesting, hopefully, also, we're going to actually have the data from our 10 year follow up of so I have a cohort that I started during my PhD. They were like 504 kids with with knee pain. And now I follow them prospectively for 10 years. And this time period, I've gotten a bit more gray hair and gray beard. But this wealth of data that comes from following more than 500 kids for 10 years with chronic knee pain is going to be really, really interesting. And we're going to be finished with that. So I'm also giving a sneak peek on unpublished data on the long term prognosis of adolescent knee pain and at the conference. So that's going to be the world premiere for for that big data set as well.   14:36 Amazing. And as you're talking about going through some of the qualitative research that you've done, and you had mentioned, there were some challenges from the physio side and from the child side in the patient and the child's parents side. Can you give us maybe one challenge that kind of stuck out to you that was like, boy, this is really a challenge that is maybe one of the biggest impediments in working with this population.   15:06 I think I think there's multiple one thing that I'm really interested in these in this moment is the whole level of like diagnostic uncertainty and kids, because one of the things we've understood is that if the kids and the parents don't really understand why they have knee pain, what's the name of the knee pain, it becomes this cause of them seeking care around the healthcare system on who can actually help me who can explain my pain. So so at the moment, we're trying to do a lot of things on how we can reduce this, what would you call diagnostic uncertainty and provide credible explanations to the kids and then trying to develop credible explanation for both kids and parents? That's actually not an easy task, because what is a credible explanation of what Patellofemoral Pain is when we don't have a good understanding of the underlying pathophysiology? So there, we're doing a lot of work on combining both clinical expertise, what the patient needs, what we know from the literature, and then we're trying to solve, iterate and test these credible explanations with the kids. And yeah, at the conference, we'll have the first draft of these, what we call credible explanation. So that's going to be at least one barrier one challenge, I hope that some of the practical tools we've developed can actually help   16:25 i for 1am, looking forward to that, because there is it is so challenging when you're working with children, adolescents, and their parents who are sort of call it doctor shopping, you know, where you're, like you said, you're going around to multiple different practitioners, just with their fingers crossed, hoping that someone can explain why their child is in pain or not performing are not able to, you know, be a part of their peer group or, or or engage in what normal kids would would generally do. Exactly. Yeah. Oh, I'm definitely looking forward to that. So what give us one other sneak peek? Because I know you've got the, you're also chairing a talk on the first day. But what else I shouldn't say I don't want to put words in your mouth. What else? Are you looking forward to even maybe if it's not your talk, are you looking forward to maybe some other presentations,   17:26 I'm actually looking forward to to the competitions we have as well, because I've had a sneak peek of some of the research that's been submitted as abstracts, and the quality is super high. So both the oral presentations but also the presentation that the best infographics because they'll also get time to actually rip on the big screen and present their infographic. And I look forward to see how people can communicate the messages from these amazing infographics. And I think these two competitions are going to be to be a blast and going to be really, really fun to, to look at. And amazing research as well. So I really look forward to the two events as well. And then of course, oh no, go ahead. No, I was just talking about look forward to meeting with friends and new friends and be out talking to people once again in beautiful new ball in Denmark in the middle of summer. It's hard to be Denmark in the summer. We don't have a lot of good weather, but Denmark in August is just brilliant.   18:31 Yes, I've only been there in February. So I am definitely looking forward to to Denmark and August as well. Because I've only been there for sports Congress when it's a little chilly and a little damp. So summer sounds just perfect. And I've one more question. Just kind of piggybacking off of your comments on the amazing research within these competitions. And since you know you have been in the research field, let's say for a decade plus right getting your PhD a decade ago. How have you seen physio research change and morph over the past decade? Have you seen just it better research coming from specifically from the physio world?   19:20 I think it's the first time someone said it's actually more than a decade. So, but that gives me a time perspective. But yeah, I've actually seen that. My perception is that physiotherapy research in general but also sports physiotherapy research went from being published in smaller journals we published in our own journals to now there's multiple example of sport fishers performing really, really nice trials that have reached the best medical journals that have informed clinical practice. So I think we see this both there's more good research Basically out there. And I also see that we've moved from, like a biomechanical paradigm to being more user a patient center, we see more qualitative research, we see that physiotherapist, sport physiotherapist, they sort of have a larger breadth of different research designs, they used to tackle the research. I think, like looking even at the ACL injuries, if you go back 10 years in time, looking at the very biomechanically oriented research that was primarily also joined by orthopedic surgeons to a large extent. Now, today where fishers have done amazing research, they understand all the the fear of reentry, they're trying to do very broad rehabilitation programs, ensuring that people don't return to sport too rapidly. And and also understanding why they shouldn't return back to his board now developing tools that you can use when you sit with a patient to try and and educate them on what are the phases, we need to go through the next nine to 12 months before you can return to sport and so on. So I think I'm just impressed by, by the research. And when I see the even the younger people in my group now, they start at a completely different level when they start their PhD compared to what we did. So I can only imagine that the quality is going to improve over the years as well, because they're much more talented, they're still hard working. And they have a larger evidence base to sort of like stand on. And they already from the beginning, see the benefit of these interdisciplinary collaborations with the whole medical field and who else is is relevant to include in these collaborations? So yeah, the future is bright. I see. Yeah,   21:50 I would agree with that. And now as we kind of start to wrap things up here, where can people find you? So websites, social media, tell the people where you're at.   22:04 So I think if you just type in my name on Google, there'll be a university profile at the very top where you can see all my contact information. Otherwise, just feel free to reach out on LinkedIn or Twitter, search for my name. And you'll find me, I try to be quite rapid and respond to the direct messages when, when possible, at least   22:25 perfect. And we'll have all the links to that in the show notes at podcast at healthy, wealthy smart.com. So you can just go there, click on it'll take you right to all of your links. So is there anything that you want to kind of leave the listeners with when it comes to the world congresses, sports physiotherapy or physical therapy, sorry.   22:52 Be careful not to miss it, it's going to be one of these conferences with a magical blend of practical application of signs, it's going to be a terrific program in terms of possibilities to to network and engage in physical activity, whatever it's running, or mountain biking, and with an amazing conference dinner as well. So I think it's, so this would come to be one of one of the highlights for me this year. So and I think the whole atmosphere around this conference is also that if you come there, as a clinician, you don't know anybody, that people will be open and welcoming and happy to engage in conversation. There's no speakers, that wouldn't be super happy to grab a beer or walk to discuss some of the ideas that's been presented at the conference. So I think it's going to be quite, quite good.   23:45 Yeah. So come with an open mind come with a lot of questions and come with your workout clothes. Is is what I'm hearing?   23:56 Yes, definitely. Definitely.   23:59 And final question, and it's one that I asked everyone is knowing where you are now in your life and in your career? What advice would you give to your younger self, and you can pick whatever time period your younger self is.   24:13 So I think in if I had to give myself one advice when I was in my sort of like, MIT Ph. D, time coming towards the end, I would say to myself, that it's okay to say no, you have to make sure to say yes to the right things because it's very easy to say yes to everything. And then you create these peak stress periods for yourself that would prohibit you from from doing things that is value being with friends or family and so on. You don't have to say yes to everything because there will be multiple opportunities afterwards. So practice in saying no and do it in a in a polite way. People actually have a lot of respect for people that say, No, I don't have a time or I'm I'm going to invest my time on this because this is what I really think is going to change the field. And this is my vision. So So young Michael, please please practice in saying no.   25:11 I love that advice. Thank you so much. So Michael, thank you so much for coming on the podcast. And again, just a reminder, I know we've said this before, but the World Congress is sports, physical therapy, we'll be in Denmark, August 26 and 27th of this year 2022. So thank you so much for coming on the podcast and thank you for all of your hard work and getting making this conference the best it can be.   25:36 Thank you, Karen, thank you for the invitation to the podcast.   25:39 Absolutely. And everyone. Thank you so much for tuning in. Have a great couple of days and stay healthy, wealthy and smart.

Over the past decade, the way clinicians and researchers understand patellofemoral pain—what causes it and how to manage it—has evolved from a focus on the biomechanics of joint alignment and posture to embracing a more rounded biopsychosocial model of musculoskeletal pain. Tune in as Professors Bill Vicenzino and Michael Rathleff share the results of the recent consensus they led to establish the clinical and research priorities on pain features and psychological factors in people with patellofemoral pain. Access the consensus at: https://www.jospt.org/doi/10.2519/jospt.2022.10647

In this episode, we sat down with Professor Michael Rathleff to discuss his research related to Osgood-Schlatter disease. --- https://pubmed.ncbi.nlm.nih.gov/31905093/ https://pubmed.ncbi.nlm.nih.gov/31095417/  --- More about Professor Michael Rathleff: ResearchGate: https://www.researchgate.net/profile/Michael-Rathleff   Twitter: https://twitter.com/michaelrathleff  --- More about us: Website: https://e3rehab.com/  Instagram: https://www.instagram.com/e3rehab/ YouTube: https://youtu.be/OgztJZzKAYE  --- This episode was produced by Matt Hunter.

Learn more about/Buy Erik's new course – Foundations of Practice Support us on the Patreons! Effectiveness of Adding a Large Dose of Shoulder Strengthening to Current Nonoperative Care for Subacromial Impingement: A Pragmatic, Double-Blind Randomized Controlled Trial (SExSI Trial). Mikkel Bek Clausen, Per Hölmich, Michael Rathleff, Thomas Bandholm, Karl Bang Christensen, Mette Kreutzfeldt Zebis, Kristian Thorborg. Am J Sports Med. doi: 10.1177/03635465211016008. Epub 2021 May 28. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight

Runchatlive Ep47: 'Plantar Fasciitis Special' Guest: Hamish VickermanRunchatlive Ep.47 brings you a 'Plantar Fasciitis Special' with guest Hamish Vickerman, creator of 'The Fasciitis Fighter.' As per last month , this episode was dual-streamed LIVE to Facebook Group 'The Running Community' www.facebook.com/TheRunningCommunity as well as our facebook page at www.facebook.com/MattPhillipsRCL .Hamish Vickerman created The Fasciitis Fighter in reaction to research published by Michael Rathleff in 2014: 'High-load strength training improves outcome in patients with plantar fasciitis'. In this episode, we discuss how the Rathleff paper revolutionised the way Plantar Fasciitis (PF) should be treated, and in doing so we cast a critical eye on many of the traditional ways that runners & non runners deal with PF, often following advice handed out by therapists & GPs who are clearly not up to date with the evidence. It's an eye opening episode which we hope you enjoy and take on board, whether you are a therapist or a runner. As always feel free to leave comments and questions in the comment section.-------------------This episode of Runchatlive was recorded LIVE as always at www.Facebook.com/MattPhillipsRCL and then uploaded to YouTube and all popular podcast apps. By joining us live at Facebook you are able to ask the guests questions and be part of the moment! Join us for the next one!RCL INTERNATIONAL RUNNING CONFERENCEGiven the current COVID-19 climate, we cannot yet guarantee whether the RCL International Running Conference 2020 on the 29th & 30th October 2020 will be face-to-face & virtual (in Brighton UK) or 100% virtual. What we CAN GUARANTEE is that it WILL be happening one way or the other. Full details of all 10 speakers & presentations can be seen at www.RCL2020.eventbrite.co.uk .HELP US OUT?The success of a podcast ultimately boils down to how much Apple advertises it, which is heavily based on ratings & reviews. A huge thanks to those of you who have left ratings and reviews! If you'd like to help us, do please take two minutes to leave a rating & review on Apple Podcasts or iTunes. iPhone users can do it from the app on your phone, android users need to go to iTunes on a laptop/pc. Thanks in advance! https://podcasts.apple.com/za/podcast/runchatlive/id1446286174

This time we will have a chat with Michael Rathleff, associate professor at Aalborg University (Danmark). He’s a well known clinical researcher with a background in physical therapy. In this podcast we will discuss his vision on management of plantar heel pain. Get ready for another interesting episode and enjoy listening !

Michael Rathleff Fysioterapeut, PhD, lektor, Research Unit for General Practice, Aalborg Hospital Dagens afsnit I denne episode har Mathias interviewet Michael Rathleff, om behandling af forreste knæsmerter hos sports aktive børn og unge. Michael Rathleff er en af de førende forskere inden for området forreste knæsmerter og patellofemoralt smertesyndrom og har i samarbejde med Aalborg Sygehus udviklet en patient folder, “Kvit knæsmerterne”, som er frit tilgængelig via. www.fysiocast.com. Interviewet er optaget til Danske Fysioterapeuters Fagkongres 2018, og kan derfor også findes i episoden “Fagkongressen SPECIAL - del 3” Vil du vide mere? Michael Rathleff på ResearchGate Michael Rathleff på Twitter BJSM Blog om praksis anvendelse af belastningsalgoritme Forskningsenheden for Almen Praksis i Aalborg

Following ACL injury, patients can have a smooth recovery with full return to sport and activity, or end up with ongoing knee symptoms and limited ability to perform the activities they love. How can you help your ACL injured patients have a great outcome? In Physio Edge podcast episode 079, Dr Lee Herrington and David Pope explore how to make your ACL injury rehab successful, and provide you with a comprehensive guide to rehabilitate ACL injuries. You will understand how to take your patients from initial injury to return to sport, and develop the knowledge to help inform your patients decide with your patient whether surgical repair or conservative management is their best option. You will discover: Do ACL injuries require surgical management? Which factors commonly affect whether people with ACL-deficient knees require surgery? Common diagnostic errors in ACL injury patients What are the key elements you need to include in your rehab of ACL injuries? Conservative vs surgical management Should your rehab focus on movement control, strength or skills? How you should objectively assess your patients rehab progress? What valid measurement tools can you use when assessing patient progress? Are open-chain exercises safe, and should they be used in your rehab? Most effective types of movement control and skill training How to know when your patient should progress their exercises? Which strength measures are important? Which strength training exercises can you include? When can running be commenced? Running progressions you can use What pain measures should you monitor throughout rehab? Is pain during rehab ok? How to return your patient to training and sport What maintenance exercises should your patient continue after completing their rehab? Related online courses Advanced ACL rehab with Andrew Ryan Other episodes of interest: Physio Edge 052 Conservative or surgical management for ACL injuries with Enda King Physio Edge 051 Lateral knee and LCL injuries with Matt Konopinski Physio Edge 034 - Advanced ACL rehab with Enda King   Click here to download the podcast handout Links associated with this episode: Download and subscribe to the podcast on iTunes Twitter - @LeeHphysio MSc Sports injury rehabilitation - University of Salford Online course - Acute low back pain treatment with David Pope - available with a free trial Clinical Edge membership Free sports injuries videos with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino Let David Pope know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Articles associated with this episode: Bollen et al. 1996. Rupture of the anterior cruciate ligament - a quiet epidemic? Comfort et al. 2011. Kinetic comparisons during variations of the power clean Frobell et al. 2010. A randomised trial of treatment for acute anterior cruciate ligament tears Gabbett. 2016. The training - injury prevention paradox: should athletes be training smarter and harder? Harris et al. 2017. Tibiofemoral osteoarthritis after surgical or nonsurgical treatment of anterior cruciate ligament rupture: a systematic review Herrington et al. 2013. Task based rehabilitation protocol for elite athletes following Anterior Cruciate ligament reconstruction: a clinical commentary Hewett et at. 2010. Understanding and Preventing ACL injuries: current biomechanical and epidemiological considerations Mikkelsen et al. 2000. Closed kinetic chain alone compared to combined open and closed kinetic chain exercises for quadriceps strengthening after anterior cruciate ligament reconstruction with respect to return to sports: a prospective matched follow-up study Weiler et al. 2015. Non-operative management of a complete anterior cruciate ligament injury in an English Premier League football plater with return to play in less that 8 weeks: applying common sense in the absence of evidence

How can you incorporate high performance elements into your sports injury rehab, to help your injured players and athletes become strong, fit, powerful and fast? How can you rehab a player to perform at a high level when they return to sport following injury? In Physio Edge podcast episode 78, David Joyce shares how you can improve the performance aspects of your rehabilitation. You will discover some of the key elements when managing high performance athletes and sporting teams. If you work with injured athletes at an elite, recreational or junior level, or would like to work with a sports team, you will love this podcast. In this podcast, David Joyce and David Pope discuss: How to help athletes move from being a junior player to performing at an elite level How to help players build tolerance and resilience to cope with high level sport How to create "elite level people", not just "elite level players" What makes a player likely to succeed? Schedules and weekly programs you can use to prepare junior players What load should a junior player perform during preseason relative to a senior player? When players need to be exposed to higher loads How to schedule training and running to prevent bony and soft tissue injuries How many running sessions per week should players perform? "Earning the right" to run at full speed How to structure strength sessions do players perform Incorporating plyometrics What load measures are actually important Important screening questions to ask your players How to return injured players to high level sport How many weeks of full training do ACL injured players require before return to play Key tests to perform for your players Tips when objectively testing athletes CLICK HERE to download your podcast handout Get your access to Sports Injury Assessment and Treatment FREE videos Links associated with this episode: David Joyce at Greater Western Sydney Giants David Joyce on Twitter - @DavidGJoyce Twitter - Giants Athletic Performance Unit @Giants_APU Book - Sports injury prevention and rehabilitation Book - High performance training for sports Online course - Acute low back pain treatment with David Pope - available with a free trial Clinical Edge membership Download and subscribe to the podcast on iTunes Free sports injuries videos with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino Let David Pope know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Other episodes of interest: PE 003 - Rugby, rehab and return to sport with the Australian Wallabies Physio PE 027 - Sports injury management with Dr Nathan Gibbs PE 034 - Advanced ACL rehab with Enda King

Beskrivelse Vi er taget til Danske Fysioterapeuters Fagkongres i Odense, som forløber over 3 dage. Vi laver ét afsnit pr. dag og dette er det tredje og sidste i rækken. I denne episode har interviewet Michael Rathleff, omkring behandling af forreste knæsmerter hos sports aktive børn og unge. Vi fik også en snak med Henrik Riel omkring teknologiunderstøttet træning og dernæst fik vi snakket med Rasmus Husted omkring hans oplæg “1 hård øvelse til patienter med knæartrose - er det nok?”. Derudover fik vi mulighed for at snakke med Kieran O’Sullivan om patienter med længerevarende rygsmerter. Til sidst snakkede vi med Lene Nyboe omkring PTSD. Dagens afsnit 00:00:00 - Intro 00:01:05 - Behandling af forreste knæsmerter hos sports aktive børn og unge, Michael Rathleff 00:21:05 - Længerevarende rygsmerter, Kieran O’Sullivan 00:37:08 - Teknologiunderstøttet træning, Henrik Riel 00:50:47 - 1 hård øvelse til patienter med knæartrose - er det nok? Rasmus Husted 01:01:39 - PTSD, Lene Nyboe Dagens gæster Michael Rathleff - Fysioterapeut, PhD, lektor, Research Unit for General Practice, Aalborg Hospital Kieran O’Sullivan - Fysioterapeut, PhD, Sports Spine Centre at Aspetar Sports Medicine and Orthopedic Hospital, Qatar Henrik Riel - Fysioterapeut, PhD-studerende, Aalborg Hospital Lene Nyboe - Fysioterapeut, PhD, Forskningsenheden for Depression og Angst og Klinik for PTSD, AUH, Risskov Rasmus Husted - Fysioterapeut, PhD-studerende, Amager-Hvidovre Hospital Vil du vide mere? Michael Rathleff på ResearchGate Michael Rathleff på Twitter BJSM Blog om praksis anvendelse af belastningsalgoritme Kieran O’Sullivan på Research Gate Pain-ED

Research so often includes ‘education’ in the comparison arm of clinical trials as though it is a universal, standardized, or perhaps even inert component of intervention. But what if education IS a key ingredient in managing patellofemoral pain? Erin Macri met up with Dr. Michael Rathleff after hearing some impressive presentations from him and his team members at the 5th International Patellofemoral Pain Research Retreat in Gold Coast, Australia. Dr. Rathleff works at the Research Unit for General Practice in Aalborg. He is an associate professor and head of the OptiYouth research group that works towards improving musculoskeletal health in adolescents. In this podcast, Dr. Rathleff shares some innovative and evidence-based approaches to optimizing outcomes for patellofemoral pain using strategic, targeted education. Related Articles Rathleff MS, Roos E, Olesen J, Rasmussen S. Exercise during school hours when added to patient education improves outcome for 2 years in adolescent patellofemoral pain: a cluster randomised trial. Br J Sports Med 2015;49(6):406-12 Associated Materials for upload Educational slides for use with patients (attached)

Tendinopathy patients may present for treatment with an ultrasound or MRI report in hand, unsure how you can help them, or how they can possibly recover when they have so much tendon pathology. To add insult to injury, they may even have a partial tendon tear on their imaging report thrown into the mix. How do imaging results impact your treatment and your patient's recovery? Are the imaging findings relevant to their pain? In this Physio Edge podcast with Dr Sean Docking (Physiotherapist, PhD), you will explore what information imaging actually provides in your tendinopathy patients, how to explain imaging to your patients, and whether partial tendon tears identified on imaging will effect your treatment. You will also discover: Who develops tendon pathology If patients have tendon pathology on imaging, is this responsible for their symptoms, or will it cause future tendon pain Asymptomatic tendon pathology in sports people How tendon pathology can actually be linked to better performance Can we prevent tendon pathology The advantages and disadvantages of different imaging types, including MRI Ultrasound Ultrasound tissue characterisation (UTC) Why a thickened tendon may actually be helpful in recovery How can we actually diagnose tendinopathy When is imaging useful Differential diagnosis of Achilles pain, including Achilles tendinopathy Paratenonitis Plantaris associated tendinopathy Partial tendon tears, the accuracy of identification, and how they impact your treatment Sports injuries virtual conference As mentioned in this episode Sean presented at the 2017 Sports Injuries virtual conference. His main conference presentation on tendinopathy and imaging discusses: The research around the use for imaging A framework for when and when not to use imaging How to explain imaging findings to patients You can get immediate access to his presentation, and presentations from 13 of the leaders in sports injuries by CLICKING HERE Download this podcast and subscribe on iTunes   Links associated with this episode: Get your free access to Sports Injuries presentations with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino Enrol on the 2017 Sports Injuries virtual conference Twitter - @SIDocking Sean Docking - La Trobe University website Sean Docking - Research gate David Pope on Twitter Clinical Edge on Facebook Have a free trial Clinical Edge membership Articles associated with this episode: Alfredson. 2011. Midportion achilles tendinosis and the plantaris tendon Brown et al. 2011. The COL5A1 gene, ultra-marathon running performance and range of motion Docking et al. 2016. Pathological tendons maintain sufficient aligned fibrillar structure on ultrasound tissue characterization (UTC). Docking et al. 2015. Tendinopathy: Is imaging telling us the entire story? Lieberthal et al. 2014. Asymptomatic achilles tendinopathy in male distance runners McAuliffe et al. 2016. Can ultrasound imaging predict the development of Achilles and patellar tendinopathy? A systematic review and meta-analysis Simpson et al. 2016. At What Age Do Children and Adolescents Develop Lower Limb Tendon Pathology or Tendinopathy? A Systematic Review and Meta-analysis Other episodes of interest: PE 068 - Lower limb tendinopathy loading, running and rehab with Dr Pete Malliaris PE 042 - Treatment of Plantaris and achilles tedninopathy with Seth O’Neil PE041 - Plantaris involvement in achilles tendinopathy with Dr Christoph Spang

Femoroacetabular impingement (FAI) may contribute to hip and groin pain, buttock pain, pelvic or low back pain and referred pain into the thigh. Is conservative management effective in patients with FAI, or is surgery required? If we can treat FAI conservatively, what is the best treatment, and how can you tailor your treatment to your individual patients? In episode 74 of the Physio Edge podcast with Dr Joanne Kemp you will discover: What is FAI, and how can you identify it? Common clinical presentations Key subjective questions to ask Types of FAI morphology and how they are identified Is FAI just a normal finding? How you can perform an objective assessment in patients with FAI Differential diagnosis Components you need to include in your conservative treatment for FAI Which objective markers to use when treating FAI How to address common impairments in your rehabilitation, including strength, functional tasks, cardiovascular training and range of movement When to refer for a surgical opinion Outcomes of surgical treatment Future risk of developing OA in presence of FAI Sports Injuries virtual conference presentation As mentioned in this episode Joanne will be part of the Sports Injury virtual conference. Her pre conference presentation will discuss FAI and the diagnostic process in more detail. Her subsequent conference presentation will be available on 9-10 December 2017, with access for up to 12 months following the conference, and will discuss: • Conservative management of FAI • Specific exercise progressions you can use • Return to sport for athletes Enrol on the 2017 Sports Injuries virtual conference by CLICKING HERE Download this podcast and subscribe on iTunes Links associated with this episode: Get your free access to Sports Injuries presentations with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino Enrol on the 2017 Sports Injuries virtual conference Twitter - @JoannaLKemp Joanna Kemp - Research gate David Pope on Twitter Clinical Edge on Facebook Have a free trial Clinical Edge membership LaTrobe Sports and Exercise Medicine Research Blog Twitter - @LaTrobeSEM GLA:D Australia Lake Health Group Articles associated with this episode: Griffin et al. 2016. The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement. Articola et al. 2014. A Cam Deformity Is Gradually Acquired During Skeletal Maturation in Adolescent and Young Male Soccer Players. A Prospective Study With Minimum 2-Year Follow-up. Other episodes of interest: Physio Edge 054 - Hip and groin pain part 2 with Benoy Matthew Physio Edge 053 - Hip and groin pain part 1 with Benoy Matthew Physio Edge 009 - Lateral hip pain with Dr Alison Grimaldi Physio Edge 004 - Hip injuries and labral tears with Nicole Hamilton

Strengthening is not commonly used in neck pain treatment and rehabilitation, however athletes may place large demands on their neck during training and play that require a high level of strength or endurance. When should you include strength training in your rehabilitation? What patients will benefit from strength training? How can you incorporate strengthening into your treatment? In episode 73 of the Physio Edge podcast, we explore the role of neck strengthening with Kay Robinson, Physiotherapist working with Australian sailing, and previously with the British Olympic Skeleton team. In the podcast you will discover: Objective assessment of patients with neck pain Range of movement and strength tests you can use with your neck pain patients How to assess neck strength in your patients Indications for strength training Is strength training suitable in the early stages of neck pain rehabilitation? Early-stage cervical spine rehabilitation exercises you can use Exercise progressions to improve neck strength Neck strengthening in concussion Is neck strength training suitable for whiplash patients? Aspects incorporated into a typical neck strengthening program Kay Robinson will also be presenting at the 2017 Sports Injury virtual conference. Her conference presentation on neck strengthening will discuss: How to incorporate neck training into rehabilitation post injury Neck strengthening for injury prevention How to make exercise patient or sport specific Other consideration with neck training Case studies Download this podcast and subscribe on iTunes   Links associated with this episode: Get your free access to Sports Injuries presentations with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino Enrol on the 2017 Sports Injuries virtual conference Kay Robinson on Twitter - @kaylourob Kay Robinson at Total Physiotherapy David Pope on Twitter Clinical Edge on Facebook Have a free trial Clinical Edge membership Book - Sports Injury Prevention and Rehabilitation: Integrating Medicine and Science for Performance Solutions High-Performance Training for Sports Articles associated with this episode: Durall. 2012. Therapeutic Exercise for Athletes With Nonspecific Neck Pain: A Current Concepts Review. Falla et al. 2003. An electromyographic analysis of the deep cervical flexor muscles in performance of craniocervical flexion. Falla et al. 2007. Recruitment of the deep cervical flexor muscles during a postural-correction exercise performed in sitting. Jull et al. 2009. The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Other episodes of interest: PE 013 - Cervical Spine Artery and VBI Testing with Roger Kerry 5 Minute Physio tip - Manual therapy for the cervical spine - Is there any evidence? 5 Minute Physio tip - Contraindications and red flags to cervical spine manual therapy.

Injured athletes like to recover and return to play as quickly as possible, and we need to balance return to play against impaired strength, performance and risk of reinjury. Initial injury rehabilitation often commences with isometric exercises, progressing into concentric/eccentric style exercises when isometric tests are pain-free. Finally high load eccentric exercises such as the Nordic hamstring are introduced for their positive effects of increased strength, fascicle length and reduced injury risk. High level and eccentric exercises are often avoided in the early stages of rehab, for fear of aggravating the injury. What if we could commence higher-level and eccentric exercises safely at an earlier stage? Would this impair or accelerate your patients' recovery? In this podcast with Jack Hickey, currently completing a PhD with the QUT/ACU hamstring injury research group, we explore an accelerated hamstring injury rehabilitation program, and how this can be implemented with your patients. You will discover: The limitations of traditional rehabilitation What is the evidence for only using isometric exercises in the early stages of rehab Why eccentric exercises are commonly thought of as too high a load for initial rehab More modern rehabilitation programs for hamstring strain injuries, including the Askling (2013), Aspetar (2017) and Mendiguchia (2017) programs An accelerated rehab program, introducing higher-level and eccentric exercises at an early stage How often high-level exercises need to be performed Which exercises you can use with your hamstring injury patients How to know when to progress your patient's exercises When you can start your patient's rehabilitation When your patients can return to running How to progress your patience through a return to running program When your patients are suitable for return to sport Download this podcast and subscribe on iTunes   Links associated with this episode: Get your free access to Sports Injuries presentations with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino Jack Hickey David Pope on Twitter Clinical Edge on Facebook Have a free trial Clinical Edge membership ACU open access hamstring journal repository Dr David Opar on Twitter Dr Anthony Shield Dr Morgan Williams Dr Matthew Bourne Nicol van Dyk Rod Whiteley Nirav Maniar Ryan Timmins Dr Steve Duhig Sliding discs to use in hamstring slider exercises in your clinic - available in Australia. Use the code "clinicaledge" to get 20% off your order (at the above link, not applicable on Amazon) Amazon (outside Australia)- Sliding discs to use in hamstring slider exercises   Other episodes of interest: PE 071 - Hamstring strengthening, lengthening and injury prevention with Dr David Opar PE 019 - Hamstring strength, flexibility and injury reduction with Dr Kieran O’Sullivan PE016 - Preventing hamstring injuries with Dr Kristian Thorborg Articles associated with this episode: Askling et al. 2013. Acute hamstring injuries in Swedish elite football: a prospective randomised controlled clinical trial comparing two rehabilitation protocols Aspetar Hamstring Protocol Hickey et al. 2016. Criteria for Progressing Rehabilitation and Determining Return-to-Play Clearance Following Hamstring Strain Injury: A Systematic Review Jacobsen et al. 2016. A combination of initial and follow-up physiotherapist examination predicts physician-determined time to return to play after hamstring injury, with no added value of MRI. Järvinen et al. 2007. Muscle injuries: optimising recovery. Mendiguchia et al. 2017. Hamstring rehab for football players. Silder et al. 2013. Clinical and Morphological Changes Following 2 Rehabilitation Programs for Acute Hamstring Strain Injuries: A Randomized Clinical Trial

Hamstring injuries are the most common injury in football and AFL, and we can help our patients strengthen their hamstrings while significantly reducing their risk of injury with the right exercise program. What are the best exercises to use to strengthen and lengthen the hamstrings, and to prevent hamstring injury? In this Physio Edge podcast with Dr David Opar, we discuss hamstring injury prevention, which athletes will benefit, which exercises to use, the most important aspects of each exercise and how to incorporate these with your athletes. You will discover: What does the latest research around hamstring exercises and injury reveal? Which players are most at risk of hamstring injury? How can we prevent hamstring injuries? How does hamstring muscle architecture adapt to training, and how does this relate to your exercise selection or prescription? How can we increase hamstring muscle fascicle length? How can we tailor our patients hamstring program based on whether they are preseason, in-season, uninjured or previously injured? Which exercises are important in hamstring rehabilitation and prehabilitation? How can you start and progress a hamstring injury prevention program? How quickly do patients lose their hamstring gains, and how much maintenance do they need to perform? What happens to hamstring muscle strength and flexibility following injury? What neuromuscular inhibition happens following hamstring injuries, and how can we address this in our rehab? There has been a lot of great research performed recently on hamstring injuries, and to share this and help you with your hamstring injury patients, we have invited Dr David Opar to present at the upcoming Sports Injuries virtual conference in December 2017. You can access six free preconference sports injury presentations by CLICKING HERE. Links Get your free access to Sports Injuries presentations with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino David Pope on Twitter Clinical Edge on Facebook Have a free trial Clinical Edge membership ACU open access hamstring journal repository Dr David Opar on Twitter Dr Anthony Shield Dr Morgan Williams Dr Matthew Bourne Nicol van Dyk Rod Whiteley Nirav Maniar Jack Hickey Ryan Timmins Dr Steve Duhig Articles associated with this episode: Bourne et al. 2017. Impact of exercise selection on hamstring muscle activation. Opar et al. 2015. Eccentric hamstring strength and hamstring injury risk in Australian footballers. Petersen et al. 2011. Preventive Effect of Eccentric Training on Acute Hamstring Injuries in Men’s Soccer. Timmins et al. 2015. Short biceps femoris fascicles and eccentric knee flexor weakness increase the risk of hamstring injury in elite football (soccer): a prospective cohort study. Timmins et al. 2016. Architectural Changes of the Biceps Femoris Long Head after Concentric or Eccentric Training. van Dyk et al. 2016. Hamstring and Quadriceps Isokinetic Strength Deficits Are Weak Risk Factors for Hamstring Strain Injuries: A 4-Year Cohort Study.

01:03:05 clean edge,running,recovery,david,michael,morning,pain,pope,treatment,trial,strengthening,clinical,loading,orthotics,plantar,physio,heel,fasciitis,physiotherapy,rct,fasciopathy,rathleff info@clinicaledge.com.au (Physio Edge)Physio EdgeInspiring interviews with leading Physiotherapists, discussing real life assessment and treatment, clinical issues and ways to give you an edge in your Physiotherapy clinical pr